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Accounts Receivable Specialist
Ovation Healthcare. Follow up with insurance payers on outstanding claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in accounts receivable management, including follow-up on claims, payment resolution, and revenue cycle understanding. Proficient in medical terminology and skilled in using tools like Amplify and Excel to enhance productivity and accuracy.
Highest-signal resume keywords
Accounts Receivable ManagementMedical TerminologyICD-10 KnowledgeCPT KnowledgeRevenue Cycle Understanding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Follow-UpPayment ResolutionExcelFirst- and Second-Level AppealsData AnalysisDocumentationStatus Code AssignmentProblem-SolvingCritical ThinkingDetail-Oriented
Soft Skills
Organizational SkillsIndependent WorkCustomer InteractionAdaptabilityGoal-Oriented
Tools & Technologies
AmplifyMeditech Expanse
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Accounts ReceivablesCollections ExperiencePayer ClaimsCash CollectionsConfidential Patient Information
About the role
Key responsibilities & impact- Follow up with insurance payers on outstanding claims
- Break down obstacles to payment and accelerate cash collections
- Follow up and collect on accounts in assigned inventory
- Use follow-up strategies and tools to resolve claims and obtain payment
- Escalate unpaid claims to payer claims supervisors when appropriate
- Document client host systems using the 5 W’s framework and applicable policies and procedures
- Copy account notes into Amplify’s workflow tool
- Assign status codes in Amplify to identify and address trends
- Write first- and second-level appeals for denials to secure payment
- Escalate payer denial and other trends to Management
- Work assigned underpayments as directed by Management
- Maintain daily productivity and quality expectations
- Research and analyze correspondence related to assigned accounts
Requirements
What you’ll need- Must work independently from home in a fast-paced, changing, and goal-oriented environment
- Direct account follow-up and/or billing experience
- Medical Terminology, ICD-10, CPT and DRG knowledge
- Intermediate experience in Excel preferred
- Ability to safeguard confidential patient account information
- Understanding of the entire revenue cycle
- Detail-oriented and organized
- Critical thinking and problem-solving skills
- Ability to handle inquiries and customer interaction
- High school diploma or equivalent
- 3-5 years of accounts receivables / collections experience
- Meditech Expanse experience a plus
- Stable internet connection, quiet dedicated workspace, and necessary office equipment
Benefits
Comp & perks- Work from home and remote location
- Stable internet connection and dedicated workspace
- Access to necessary office equipment
- Daily communication through email, phone calls, video meetings, and collaborative tools